| NPI | 1912994047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL 0045499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0045499) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-07-19 |